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Home My WebLink AboutBLD93-0142 Bulkhead - BLD Permit / Conditions - 4/29/1993 MASON COUNTY Mason County Bldg. III 426 W. Cedar P.O. Box 186 Shelton, Washington 98584 N:3 ILJ :1: 1..... E:) :X::. P41 (Ica FOR 1::::: 1 M :N:: '"1'" FOR INSPECTIONS CALL 427-9670 BETWEEN 5pm AND 8am 427-7262 BLD93-0142 PARCEL : 322352100010 PLAT : DIV: BLK : LOT : JOB ADDRESS : NE 12403 NORTH SHORE . . . RD BELFAIR OWNER : JACK RING 957-0657 CONTRACTOR : OWNER IS CONTRACTOR L E G A L : T1 1 IF LIT 6 1 TAX 812A EX A-1 i A-2 FS 14214:4 BX 151 CLASS OF WORK . . : NEW BEDR : 0 . BATH : 0 TYPE AMOUNT BY DATE RECEIPT TYPE AMOUNT BY DATE RECEIPT TYPE OF USE . . . . : OTH STORIES . . . . . . . : @ OCCUP . GROUP . . . : ? BLDG . HEIGHT . . : 0 . 0ft P R M T $ 54.00 PIB 04127/93 000000 TYPE OF CONST . . : ? FIREPLACES . . . . : 0 PICK $ 21.50 PIB O4127J93 600000 OCCUP . LOAD . . . . : 0 WOODSTOVES . . . . : 0 S T F E Z 4.50 PIB 04127j93 000011 OWELL . UNITS . . . . : 0 PARKING SPACES : 0 INSPECTION AREA : 1 SHORELINE? . . . . : ? i TOTAL: 81.00 VALULATION: 4181 SETBACKS-------------- TOILETS . . . . . . . . . . : 0 FUEL TYPES---------- BOILERS/COMP---- MOBILE HOME-- FRONT . . . ? 0 . 0ft BATH BASINS . . . . . . : 0 : ? 0-3 HP . : 0 REAR . . . . ? 0 . 0ft BATH TUBS . . . . . . . . : 0 3-15 HP . : 0 MODEL : ? SIDE (1 ) . ? 0 . 0ft SHOWERS . . . . . . . . . . : 0 FURN < 100K BTU : 0 15-30 HP . : 0 —MAKE------ SIDE ( 2 ) . ? 0 . 0ft WATER HEATERS . . . . : 0 FURN >=100K BTU : 0 30-50 HP . : 0 ? SHRLINE . ? 0 . 0ft CLOTHES WASHERS . . : 0 FURN — FLOOR . . . : 0 50+ HP . : 0 —YEAR------ AREA ---------------- KITCHEN SINKS . . . . : 0 HEAT PUMP . . . . . . : 0 '? LOT SIZE . . : ? FLOOR DRAINS . . . . . : 0 VENT SYSTEMS . . . : 0 EVAP COOLERS : 0 LENGTH : 0 BUILDING . . . : 0sf DRINKING FOUNT . . . : 0 VENT FANS . . . . . . : 0 HOODS . . . . . . . : 0 WIDTH . : 0 BASEMENT . . . : 0sf LAUNDRY TRAYS . . . . : 0 DOMES . INCIN : O —SERIAL#---- DECKS . . . . . . : 0sf DISHWASHERS . . . . . . : 0 AIR HANDLING UNITS-- COMML . INCIN : O ? GAR /CARP : ? 0sf GARB DISPOSALS . . . : 0 <= 10000 cfm. : 0 RELOC /REPAIR : 0 AT/DT . : ? URINALS . . . . . . . . . . : 0 > 10000 cfm. : 0 OTHER UNITS . : 0 MISC PLM FIXTURES : 0 GAS OUTLETS . : 0 PROJECT DESCRIPTI0N:8ULKHEA0 PROJECT LOCATION:NORTH SHORE RD TO NE 12413 THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 181 DAYS OR IF CONSTRUCTION OR WORK IS SUSPENDED FOR A PERIOD OF 181 DAYS AT ANY TIME AFTER WORK IS COMMENCED. EVIDENCE OF CONTINUATION OF WORK IS A PROGRESS INSPECTION WITHIN THE 186 DAY PERIOD. FINAL INSPECTION MUST BE APPROVED BEFORE BUILDING CAN BE OC OWNER OR AGENT: �1J�� DATE:_ BLO_PRMT, rev: 13/3 91 +� C 1-1 l p Permit- No.SLD t I a� MASON COIINTY FEB p 3 BUILDING PERMIT APPLICATION ;;;��.� PLEASE PRINT #1 Owner F Phone# Site Address N E is 3 Nor- h 5 hore city _St Wog- Zip a Directions to Job Site Nor -k 516re, 42A . +n re ss Owner Mailing Address `J O 3 City kk I I'ZVLA - St yjo- Zip Lien/Title Holder 50.m.e. n.h ow ng.r n-Inbya, Address City St Zip #2 Contractor Name 60,4 Contractor Reg# Address Expiration date City St Zip Phone #3 If septic is located on project site, include records. Connect to Septic? Public Water Supply Well (If residential, proof of potable water may be �rlequired) #4 Parcel No. C�� /� 3a`a �-«1 - a 0a b Legal Description #5 Building Square Footage: (existing/propoaed) N 1st F1 / 2nd F1 1 3rd F1 / Loft / Basement / Deck / #bedrooms _ #bathrooms_ Garage / Carport / (Circle: Attached or Detached?) Other sq ft / #6 Use of buildin " i r'1 Describe work bi .I k he_ #7 Type of Job: New Add Alt Repair y. Demolition Woodstove Re-Roof Bulkhead,_,4,,::::�Other #8 MOBILE HOME INFORMATION Model Year Make Model Length Width Serial No. #Bedrooms #Bathrooms Type of Heat #9 Any water on or adjacent to property: saltwater i lake river pond wetland seasonal runoff other Show following on the site plan Lot Dimensi6ns Flood Zones Existing Structures Fences Structure Setbacks Driveways Water Lines Shorelines Drainage Plan Topography Septic Systems Wells Proposed Improvements Easements Name of Flanking Street Scale: Name of Frosting Street Date: APPLICANT TO DRAW SITE PLAN BELOW APPLICANT TO DRAW TOPOGRAPHY PROFILE BELOW Plumbing Fixtures ($2 each) Fee Fee No. Toilets Vent Systems X 3 . 00 Bath Basins Vent Fans X 3 . 00 Bath Tubs No. Boilers/Compressors Showers 0-3 HP 6 . 00 ?Hot Water Htr 3 -15 HP 5 . 00 Laundry washer 15-3 0 HP --00_ Sinks Floor Drains 50 5 30-50 HP 5 . 00 HP 0 Laundry Basins No. Air Handling Ua Dishwasher <= 10000 cfm. 7 . 50 Disposal > 10000 cfm. 7 . 50 Urinals Other Other Evap Coolers Hoods Permit Basic Fee 3 . 00 Fire Suppression TOTAL PLUMBING $ Domes . Incin. Comml . Incin. Reloc/Repair . 00 Mechanical F� YturAs Gas�utlets X 2.00 No. Fuel Types Wo4dstove separate Furs < 100R BTU 6 . 00 0 er Furs >= 1 BTU 6 . 00 rn oor 6. 00 Pe ' t Basic Fee 10 . 00 Heat Pumps 6 . 00 TOTAL bD CVMICAL $ NOTICE: THIS PERMIT BECOMES NULL AND VOID IF WORK OR CONSTRUCTION AUTHORIZED IS NOT COMMENCED WITHIN 180 DAYS, OR IF CONSTRUCTION OR WORK IS SUSPENDED OR ABANDONED FOR A PERIOD OF 180 DAYS AT ANYTIME AFTER WORK IS COMMENCED OWNERS AFF=TZT CONTRACTORS AFFIDAVIT I CERTIFY THAT I AN EXEMPT FROM THE REQUIREMENTS Of THE I CERTIFY THAT I AM A CURRENTLY REGISTERED CONTRACTOR CONTRACTORS REGISTRATION LAW RCW 18.27 AMC AN AwuE IN THE STATE OF WASHINGTON AND I AN AWARE OF THE OR THE MASON COUNTY ORDINANCE REQUIREMENTS FOR WHICH ORDINANCE REMIREMN:NTS REQJLATING THE WORK FOR WHICH THIS PERMIT IS ISSUED ANO THAT ALL WORK DONE WILL BE IN THE PERMIT IS ISSUED AND ALL WORK DOME WILL BE IN CONFORMANCE THEREWITH. NO CHANGES SMALL BE MADE CONFORMANCE THEREWITH. NO CHANGES SHALL BE WE WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING WITHOUT FIRST OBTAINING APPROVAL FROM THE BUILDING DEPARTMENT. DEPARTMENT. X OWNER I SY DATE - -C DATE Return permit to: Department of General Services 426 W. Cedar/P.O. Box 186, Shelton, WA 38584 427-9670/1-800-562 -5628 FOR OFFICIAL USE ONLY: Accepted by: Date: DEPARTMENTAL REVIEW FOR OFFICE IISB ONLY Approved Cand Hold Approval Plarai i Environaental Health: Building Plan Review: Occupancy Group : Fire Marshall : Other: FEES IlSpecial Conditions: II I{Site Inspection I II II n 1 { 11 �O II UBuilding Permit OOII II II I` u II If Violation Fee I II II II I I 11 II HViolation Investigation Fee ( IJ II_ II 1 { II 11 II Plan Check Li 's 0 I II 11 I II 11 IlPlumbing Fee 1 n 11 11 11Mechanical Fee 1 11 II II IlWoodstove Fee I II II II R �I 11 IlBuilding State Fee I yJ II 11Bui?di.^.c Va'_uac=on: �I 11 Tc),rXL �• �II ul THESE PLANS MUST BE 1 ON THE JOB SITE 11' `? D6r,,C,O G RITRIA FOR INSPECTION. 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